A randomized comparative effectiveness trial to evaluate two programs for promotion of physical activity after spinal cord injury in manual wheelchair users
ObjectiveThe goal of this study was to determine the effectiveness of a novel whole of day activity accumulation (WODAA) physical exercise program. WODAA physical activity and physiological outcomes were compared to outcomes from individuals using a traditional planned arm crank exercise (PACE) prog...
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Frontiers Media S.A.
2025-02-01
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| Series: | Frontiers in Sports and Active Living |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fspor.2025.1504840/full |
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| author | Jenna M. Martinez Jenna M. Martinez Lisa L. Haubert Valerie J. Eberly Walter B. Weiss Jeffery W. Rankin |
| author_facet | Jenna M. Martinez Jenna M. Martinez Lisa L. Haubert Valerie J. Eberly Walter B. Weiss Jeffery W. Rankin |
| author_sort | Jenna M. Martinez |
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| description | ObjectiveThe goal of this study was to determine the effectiveness of a novel whole of day activity accumulation (WODAA) physical exercise program. WODAA physical activity and physiological outcomes were compared to outcomes from individuals using a traditional planned arm crank exercise (PACE) program. Both programs included progressive exercise instruction and goal setting over a 4-month period, and utilization of a wrist-worn activity monitor (Fitbit Blaze/Versa, Fitbit Inc., San Francisco, CA).DesignLongitudinal, randomized, comparative effectiveness trial with collaborative goal setting.SettingResearch laboratory at a rehabilitation hospital and in participants' homes and communities.ParticipantsForty-nine manual wheelchair users with paraplegia.Outcome measuresPhysical activity measurements and cardiometabolic data were collected before, during, and after the program. The primary measures were amount of daily arm activity (Steps) and time spent in different activity and heart rate zones.ResultsRelative to baseline measures, participants in the WODAA group had significantly more daily arm movement/propulsion activity (Steps) and time spent in the Fairly and Very Active Zones and the Cardio Heart Rate Zone compared to those in the PACE group over the final month of the intervention (p < 0.05). Minutes spent in other Activity and Heart Rate Zones were similar between groups. At final evaluation, diastolic blood pressure after a 6-Minute Push Test was significantly lower in the WODAA group, while no differences were found in distance traveled, systolic, or pre-test diastolic blood pressures. Metabolic bloodwork and shoulder pain scores did not change and were similar between groups.ConclusionDepending on the measure used, these findings suggest that a WODAA approach to PA is comparable or more effective than a traditional PACE program in promoting physical activity in low-active manual wheelchair users with paraplegia. |
| format | Article |
| id | doaj-art-f4aad49e304c4ca9b1cc3f947ce8cd37 |
| institution | Kabale University |
| issn | 2624-9367 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Sports and Active Living |
| spelling | doaj-art-f4aad49e304c4ca9b1cc3f947ce8cd372025-02-12T07:27:10ZengFrontiers Media S.A.Frontiers in Sports and Active Living2624-93672025-02-01710.3389/fspor.2025.15048401504840A randomized comparative effectiveness trial to evaluate two programs for promotion of physical activity after spinal cord injury in manual wheelchair usersJenna M. Martinez0Jenna M. Martinez1Lisa L. Haubert2Valerie J. Eberly3Walter B. Weiss4Jeffery W. Rankin5Pathokinesiology Laboratory, Rancho Los Amigos National Rehabilitation Center, Downey, CA, United StatesSchool of Medicine, University of California, Irvine, CA, United StatesPathokinesiology Laboratory, Rancho Los Amigos National Rehabilitation Center, Downey, CA, United StatesPathokinesiology Laboratory, Rancho Los Amigos National Rehabilitation Center, Downey, CA, United StatesPathokinesiology Laboratory, Rancho Los Amigos National Rehabilitation Center, Downey, CA, United StatesPathokinesiology Laboratory, Rancho Los Amigos National Rehabilitation Center, Downey, CA, United StatesObjectiveThe goal of this study was to determine the effectiveness of a novel whole of day activity accumulation (WODAA) physical exercise program. WODAA physical activity and physiological outcomes were compared to outcomes from individuals using a traditional planned arm crank exercise (PACE) program. Both programs included progressive exercise instruction and goal setting over a 4-month period, and utilization of a wrist-worn activity monitor (Fitbit Blaze/Versa, Fitbit Inc., San Francisco, CA).DesignLongitudinal, randomized, comparative effectiveness trial with collaborative goal setting.SettingResearch laboratory at a rehabilitation hospital and in participants' homes and communities.ParticipantsForty-nine manual wheelchair users with paraplegia.Outcome measuresPhysical activity measurements and cardiometabolic data were collected before, during, and after the program. The primary measures were amount of daily arm activity (Steps) and time spent in different activity and heart rate zones.ResultsRelative to baseline measures, participants in the WODAA group had significantly more daily arm movement/propulsion activity (Steps) and time spent in the Fairly and Very Active Zones and the Cardio Heart Rate Zone compared to those in the PACE group over the final month of the intervention (p < 0.05). Minutes spent in other Activity and Heart Rate Zones were similar between groups. At final evaluation, diastolic blood pressure after a 6-Minute Push Test was significantly lower in the WODAA group, while no differences were found in distance traveled, systolic, or pre-test diastolic blood pressures. Metabolic bloodwork and shoulder pain scores did not change and were similar between groups.ConclusionDepending on the measure used, these findings suggest that a WODAA approach to PA is comparable or more effective than a traditional PACE program in promoting physical activity in low-active manual wheelchair users with paraplegia.https://www.frontiersin.org/articles/10.3389/fspor.2025.1504840/fullspinal cord injuryphysical activityexercisecardiometabolic healthparaplegiarandomized control trial |
| spellingShingle | Jenna M. Martinez Jenna M. Martinez Lisa L. Haubert Valerie J. Eberly Walter B. Weiss Jeffery W. Rankin A randomized comparative effectiveness trial to evaluate two programs for promotion of physical activity after spinal cord injury in manual wheelchair users Frontiers in Sports and Active Living spinal cord injury physical activity exercise cardiometabolic health paraplegia randomized control trial |
| title | A randomized comparative effectiveness trial to evaluate two programs for promotion of physical activity after spinal cord injury in manual wheelchair users |
| title_full | A randomized comparative effectiveness trial to evaluate two programs for promotion of physical activity after spinal cord injury in manual wheelchair users |
| title_fullStr | A randomized comparative effectiveness trial to evaluate two programs for promotion of physical activity after spinal cord injury in manual wheelchair users |
| title_full_unstemmed | A randomized comparative effectiveness trial to evaluate two programs for promotion of physical activity after spinal cord injury in manual wheelchair users |
| title_short | A randomized comparative effectiveness trial to evaluate two programs for promotion of physical activity after spinal cord injury in manual wheelchair users |
| title_sort | randomized comparative effectiveness trial to evaluate two programs for promotion of physical activity after spinal cord injury in manual wheelchair users |
| topic | spinal cord injury physical activity exercise cardiometabolic health paraplegia randomized control trial |
| url | https://www.frontiersin.org/articles/10.3389/fspor.2025.1504840/full |
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